Page 43 - GreenBook

*1 • grunting noise with breathing
• widening of the nostrils with each breath
• use of the muscles between, under or above the ribs to help with breathing,

or use of abdominal muscles to breathe

pi| • wheeze, which is a squeaking sound while breathing out

The cough may produce choking, gasping or vomiting. Infants may feed poorly
due to difficulty breathing, and may become dehydrated (see signs of significant
m dehydration at the end of the vomiting or diarrhea section). There is no antibiotic
treatment for bronchiolitis, but most healthy children will recover without
problems. Premature infants, or those with chronic illnesses such as congenital
heart disease, cystic fibrosis or cancer are at higher risk of developing severe
problems, and should be seen as soon as bronchiolitis is suspected. Other
children benefit from home treatment and observation for signs of wheezing and
difficulty breathing.

^ Home treatment includes:

• nasal aspirator and saline drops for nasal stuffiness.
" vaporizer or humidifier to keep nasal and lung mucus from becoming too

thick.

lots of fluids. Babies may refuse formula and should be offered clear liquid
such as Pedialyte to keep them from getting dehydrated. Solid food feeding
refusal is common and should not be of concern unless signs of breathing
difficulty or dehydration develop.

Our office should be contacted if:

• wheeze or breathing difficulty develop
" infant feeds poorly
• fever lasts longer than three days OR an infant under the age of three

months develops fever of 100.4 or more

Bronchiolitis is very common, especially during the winter months. It is spread
by contact with mouth and nasal secretions. Frequent hand washing and
avoidance of contact with people with colds are the best ways to prevent

bronchiolitis.

E. BURNS
PLACE COLD WATER ON THE BURN IMMEDIATELY:
• If skin is red but not blistered, this is a first degree burn. After the cold water

soak, an antibiotic cream can be applied. Creams and sprays with
benzocaine can sensitize injured skin and should be avoided.

• If blisters appear this is a second degree burn. We should be notified on
ALL second degree burns to advise further treatment.

• Extensive second degree and third degree (loss of skin layer) bums, and all
burns to face, hands and genitals should be brought to our office or the
hospital after notifying us.

Note: Sunburn should be treated as any other burn.

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